三种不同术式治疗重度盆腔器官脱垂的临床分析

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1、sexuallifeandtheindexoflifequalityimprovement,twoyearsafteroperationjngroupAwerenolessthanthatingroupB(P>0.05)andhigherthaningroupC(P<0.05);alsoThecurerare,twoyearsafteroperation,ingroupAwasnolessthanthatingroupB(P>0.05)buthigherthaningroupC(P<0.05)・Conclusions：Comparedwiththetotalvag

2、inalhysterectomywithanterior-posteriorcolporrhaphy,VSSLFisasurgcry.whichcouldkeeptheutcrs.withshorteroperationtimeandlessofdamage^amountofbloodlossandinfluencetosexuallife.Comparedwiththetotalpelvicfloorreconstmctionjtisasurgerywithlowercostoperationandlesscomplications,therefore,VSSL

3、Fisaminimallyinvasivesurgerywithlesscostofoperationandsafety,anditcanregainintegrityofanatomicalstructureandfunctionsofpelvicfloor,whichisworthytobepopularizedinclinic.Keyvvords:Pelvicorganprolapse；Vaginalsacrospinousligamentfixation；Totalpelvicfloorreconstruction；Totalvaginalhysterec

4、tomywithantcrior-PostcriorcolporrhaphyEl录目录第1章引言1第2章资料与方法42」资料来源42.2方法62.2.1术前准备62.2.2麻醉62.2.3手术方式62.2.4观察指标72.3统计学分析12第3章结果133」三个组患者术中情况的对比133.2三个组患者术后情况的对比133.3术后随访14331三个组患者随访复发率、远期并发症及阴道长度143.3.2三个组患者术前、术后3个月Ba、Bp、C点POP・Q评分对比…143.3.3三个组患者术后随访PFDI-20评分153.3.4三个组患者术后随访性生活保持率及性生活评分15

5、第4章讨论164」VSSLF的优越性164.2VSSLF的局限性194.2VSSLF术式的注意点19El录第5章结论20第6章展望21致谢22参考文献23攻读学位期间的研究成果27综述28屮英文缩略词表中英文缩略词表英文简写英文全名中文全名CRADI-8Colorectal-analdistressinventory8肠道功能障碍问卷ERestrogenreceptor雌激素受体FDAFoodanddmgadministration食品药品监督管理局HUShighuterinsacroligamentsuspension腹腔镜下高位宫舐韧带悬吊术PFDPelvic

6、floordysfunction盆底障碍性疾病PFDI-20pelvicfloordistressinventory-shortform20盆底功能障碍问卷20PISQ-12Pelvicorganprolapse/urinaryincontinence盆腔脏器脱垂sexualquestionnaireshortform-12/尿失禁性功能问卷POPPelvicorganprolapse盆腔器官脱垂POPDI-6Pelvicorganprolapsedistressinventory6盆腔脏器脱垂症状调查表P-IVSposteriorintra-vaginalsli

7、ngplasty经阴道后路悬吊术SPOPSymptomaticpelvicorganprolapse症状性盆腔器官脱垂SPSSStatisticalpackageforsocialscience社会科学统计软件包SUIStressurinaryincontinence压力性尿失禁TVT-0Transobturatorvaginaltapeinside-out经闭孔无张力阴道吊带术UDI-6Urinarydistressinventory6泌尿生殖道症状调查表VSSLFVaginalsacrospinousligamentfixation经阴道紙棘韧带悬吊术第1章引

8、言第1章引